Pediatric Anesthesia最新文献

{"title":"Retrospective Evaluation of an Artificial Intelligence-Assisted Video Laryngoscope System for Tracheal Intubation in Infants and Neonates.","authors":"Kouki Fukuda, Hiroki Nakamura, Takahiko Asano, Tatsuhiko Masue","doi":"10.1002/pan.70260","DOIUrl":"https://doi.org/10.1002/pan.70260","url":null,"abstract":"","PeriodicalId":19745,"journal":{"name":"Pediatric Anesthesia","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2026-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148382667","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Does Preoperative Screening Reduce Anxiety in Children? Insights From the PaedIatric caNcellation ratEs And PerioPerative clinicaL Evaluation (PINEAPPLE) Study.","authors":"Karen A Brown, Nada Sabourdin, Thomas Engelhardt","doi":"10.1002/pan.70179","DOIUrl":"10.1002/pan.70179","url":null,"abstract":"","PeriodicalId":19745,"journal":{"name":"Pediatric Anesthesia","volume":" ","pages":"727-728"},"PeriodicalIF":1.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147777941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Balancing Efficacy and Simplicity in Pediatric Premedication: Do Combination Regimens Represent Progress?","authors":"John O'Keeffe","doi":"10.1002/pan.70203","DOIUrl":"10.1002/pan.70203","url":null,"abstract":"","PeriodicalId":19745,"journal":{"name":"Pediatric Anesthesia","volume":" ","pages":"879-880"},"PeriodicalIF":1.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147777939","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Developing a Pediatric Pain Curriculum for Pediatric Anesthesia Fellows in Sub-Saharan Africa: A Delphi Study.","authors":"Anisa Bhettay, Rebecca Gray, Romy Parker, Nikki Allorto, Abigail Kusi Amponsah, Brian Anderson, Lillian Baranzila, Charles Carapinha, Susan Carolus, Lionel Green-Thompson, Onica Higgins, Sonya Kolman, O' Brien Kyololo, Gillian Lamacraft, Helen Laycock, Samuel Matula, Kutlo Mutlhobogwa, Shireen Modack, Israa Modack, Timothy Mwiti, Raymond Ndikontar, Kazeem Oshikoya, Asma Salloo, Jenny Thomas, Salome Maswime","doi":"10.1002/pan.70193","DOIUrl":"10.1002/pan.70193","url":null,"abstract":"<p><strong>Background: </strong>Comprehensive pain management in children requires a specialized skillset, with a limited number of clinicians possessing the level of expertise required to successfully navigate the complexities of holistic care. The emergence of pediatric anesthesia fellowship programs in sub-Saharan Africa presents an opportunity to embed a pediatric pain curriculum for trainees, improving the availability of specialist skill and knowledge in the field. Existing pain curricula fall short in addressing the sociocultural aspects of pediatric pain identified through research as being unique to the African context, and do not include elements of leadership and advocacy training required to navigate the complexities of resource-constrained healthcare settings.</p><p><strong>Methods: </strong>A Delphi survey including literature review, iterative rounds of surveys and expert consensus was used to establish a pediatric pain curriculum for pediatric anesthesia fellows undertaking advanced training in sub-Saharan Africa. The 22-member expert panel included anesthetists, nurses, surgeons, pharmacists, pediatricians, a physiotherapist and a patient-caregiver dyad with a lived experience of pain. After completing three rounds of surveys, a steering committee of five members was assembled to resolve outstanding items to achieve the final curriculum.</p><p><strong>Results: </strong>The process yielded a curriculum containing 20 knowledge items and 23 skills items. Attitudes are a key component of the curriculum and were grouped into six themes. A further aspect of the process was the identification of foundational knowledge with which trainees should enter a fellowship training program. This was termed the foundational curriculum.</p><p><strong>Conclusion: </strong>Using a Delphi method, consensus has been achieved on a pediatric pain curriculum for pediatric anesthesia fellows in sub-Saharan Africa with potential to meet the identified need for transformative pain care in this patient population.</p>","PeriodicalId":19745,"journal":{"name":"Pediatric Anesthesia","volume":" ","pages":"800-812"},"PeriodicalIF":1.6,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13247617/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147691232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anesthesia for Pediatric Interventional Radiology.","authors":"Julia Maria Olsen, Dimitri A Parra, Mark Levine, James Robertson, Sonia Fracassa, Lynsey Downing","doi":"10.1002/pan.70195","DOIUrl":"10.1002/pan.70195","url":null,"abstract":"<p><p>Pediatric Interventional Radiology (IR) is progressively expanding and gaining popularity as it provides minimally invasive procedures and treatments, with very good outcomes and low adverse event rates. The image-guided body procedures include central venous access, gastrointestinal procedures, such as gastrostomy tubes, biopsies of solid organs and tumors, pleural and abdominal drain placements, endovascular procedures, and embolizations. Pediatric patients who require IR are often medically complex and have significant pathophysiological derangements. Pediatric IR intersects with multiple specialties, including Oncology, Transplant, General Surgery, Genetic Metabolic Diseases, Neurology, and Infectious Diseases. Anesthesiologists play a key role in IR, ensuring safe and effective care, often under complex clinical circumstances. The purpose of this review is to outline key practical considerations in the anesthetic management of pediatric IR, in particular body procedures. We present aspects of the pre-procedure evaluation and preparation and an overview of the IR technique, including considerations about agents commonly used in radiology, and we describe peri-operative considerations, anticipated challenges, and potential complications. Anesthesiologists will learn about image-guided body procedures and peculiarities of the anesthetic management, expanding their familiarity, and gaining confidence with pediatric cases in the IR environment.</p>","PeriodicalId":19745,"journal":{"name":"Pediatric Anesthesia","volume":" ","pages":"735-741"},"PeriodicalIF":1.6,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147777858","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reduced and Personalized Fasting Regimens to Avoid Metabolic Complications in Pediatric Anesthesia.","authors":"Benjamin J Blaise, Hugh Lemonde, Philip Arnold","doi":"10.1002/pan.70186","DOIUrl":"10.1002/pan.70186","url":null,"abstract":"","PeriodicalId":19745,"journal":{"name":"Pediatric Anesthesia","volume":" ","pages":"729-731"},"PeriodicalIF":1.7,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147675663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of Dexmedetomidine Administration Strategy for Propofol-Based Pediatric Sedation for Magnetic Resonance Imaging: A Retrospective Study.","authors":"Tae-Won Kim, Sang-Hwan Ji, Jung-Bin Park, Pyoyoon Kang, Young-Eun Jang, Eun-Hee Kim, Ji-Hyun Lee, Hee-Soo Kim, Jin-Tae Kim","doi":"10.1002/pan.70180","DOIUrl":"10.1002/pan.70180","url":null,"abstract":"<p><strong>Background: </strong>Intravenous dexmedetomidine is a safe and effective adjunct in propofol-based sedation. Dexmedetomidine is typically administered as a loading dose, followed by continuous infusion or not. Whether the addition of a maintenance infusion of dexmedetomidine after a loading dose in propofol-based sedation for pediatric magnetic resonance imaging (MRI) can be beneficial in terms of propofol consumption or adverse events is not clear.</p><p><strong>Aims: </strong>We aimed to study whether maintaining dexmedetomidine infusion after loading dose can help reduce propofol consumption and minimize airway and cardiovascular interventions during sedation.</p><p><strong>Methods: </strong>We retrospectively reviewed 884 medical records of pediatric sedation for MRI using both propofol and dexmedetomidine, performed at a single tertiary hospital between May 2021 and January 2023. We compared patients who received dexmedetomidine loading + maintenance (group LM) and dexmedetomidine loading only (group L) as an adjunct to propofol-based sedation. The consumption of propofol and time to recovery were measured. We also compared the incidence of airway rescue maneuver and hypotension requiring intervention during sedation.</p><p><strong>Results: </strong>Overall, 695 patients were included in the analysis (group LM, n = 351, group L, n = 344). The total sedation duration was similar between the two groups (52 vs. 50 min, p = 0.255). Group LM showed significantly less total propofol consumption (6.62 vs. 7.63 mg·kg^-1·h^-1, p = 0.001). The incidence of airway rescue maneuver did not differ significantly between the two groups (0.9 vs. 1.5%, p = 0.501); however, the incidence of hypotension requiring intervention was lower in group LM than in group L (4.3 vs. 8.1%, p = 0.040). The recovery time did not differ significantly between the two groups (34 vs. 34 min, p = 0.932).</p><p><strong>Conclusion: </strong>In propofol-based sedation for pediatric MRI, maintenance infusion of dexmedetomidine after a loading dose reduces total propofol consumption and hemodynamic instability requiring intervention without prolonging recovery time, compared with dexmedetomidine bolus without maintenance.</p>","PeriodicalId":19745,"journal":{"name":"Pediatric Anesthesia","volume":" ","pages":"785-791"},"PeriodicalIF":1.6,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147609614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"MRI in Febrile Children: Temperature Changes in Sedated or Anesthetized Pediatric Patients With Initial Body Temperature ≥ 38.5°C.","authors":"Hendryk Schneider, Daniel Matheisl, Kristin Goller-Bruchmann, Martin Kuntz, Hans Fuchs","doi":"10.1002/pan.70187","DOIUrl":"10.1002/pan.70187","url":null,"abstract":"","PeriodicalId":19745,"journal":{"name":"Pediatric Anesthesia","volume":" ","pages":"877-878"},"PeriodicalIF":1.6,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13247604/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147654677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Chinese Society of Pediatric Anesthesiology Guideline for Pediatric Sedation (2025).","authors":"Xingrong Song, Dongxu Lei, Yu Cui, Zhen Du, Yingping Jia, Yue Jin, Hang Tian, Ying Xu, Lifang Yang, Jianmin Zhang, Jijian Zheng, Yunxia Zuo, Liang Zhong, John Zhong, Maryrose Osazuwa, Elizabeth Drum, Charles Dean Kurth, Yue Huang, Qinghua Huang, Heqi Liu, Wei Liu, Rui Ma, Dongpi Wang, Tingting Wang, Zixin Wang, Siwei Wei, Lei Yang, Rui Zhou, Liumei Chen, Weifeng Yu, Jun Li, Mazhong Zhang, Li Zhang, Shuangquan Qu, Shoudong Pan, Rong Wei, Liming Cheng, Yaolong Chen, Xueping Li, Zhenyu Tang","doi":"10.1002/pan.70178","DOIUrl":"10.1002/pan.70178","url":null,"abstract":"<p><strong>Background: </strong>With the increasing variety of pediatric diagnostic procedures, a growing number of children require sedation for diagnostic examinations. Appropriate sedation protocols guarantee the safety of children during sedation and improve its efficiency. Currently, there are significant differences in pediatric sedation practices across countries, regions, and medical institutions.</p><p><strong>Methods: </strong>The Pediatric Anesthesiology Group of the Chinese Society of Anesthesiology organized experts from multiple countries to develop the \"Chinese Society of Pediatric Anesthesiology Guideline for Pediatric sedation (2025)\" based on evidence-based medicine, considering the safety and efficacy, the preferences of children and parents, and drug accessibility.</p><p><strong>Results: </strong>The guideline provided 28 recommendations addressing 12 clinical issues related to pre-sedation assessment, safety measures for sedation personnel and facilities, sedation protocols, sedation monitoring, and post-sedation recovery.</p><p><strong>Conclusions: </strong>The guideline is planned to be disseminated globally through multiple channels, aiming to standardize the management of pediatric sedation and improve its safety and efficacy.</p>","PeriodicalId":19745,"journal":{"name":"Pediatric Anesthesia","volume":" ","pages":"850-871"},"PeriodicalIF":1.6,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13247630/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147646097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Serum Glucose and Ketone Concentrations in Fasted Children Aged 6-12 Months Having Elective Surgery.","authors":"Abigail Wong, Philip Ragg, Andrew Davidson, Suzette Sheppard, Ian Hughes","doi":"10.1002/pan.70153","DOIUrl":"10.1002/pan.70153","url":null,"abstract":"<p><strong>Background: </strong>Perioperative hypoglycemia during elective surgery may have serious consequences in neonates; however, infants under 12 months of age have traditionally been assumed to be at lower risk of hypoglycemia and ketosis.</p><p><strong>Aims: </strong>The aim of this multi-centre prospective observational study was to identify the incidence of hypoglycemia and ketosis in children aged 6-12 months having elective surgery. Secondary aims were to identify factors associated with serum glucose concentrations and ketone concentrations at the beginning and end of anesthesia.</p><p><strong>Methods: </strong>Serum glucose and ketone concentrations were tested at the induction of anesthesia and at the end of anesthesia. For this study, hypoglycemia was defined as glucose < 3.0 mmol/L and ketosis was defined as ketones being > 0.6 mmol/L. Data on types of fluids given, fasting time for fluids, milks and solids, and vital signs were collected.</p><p><strong>Results: </strong>The study enrolled 158 participants between 2019 and 2021 at three tertiary pediatric hospitals in Australia. There were 6 cases of hypoglycemia (3.8%) recorded at induction of anesthesia with only 1 at the end of the case. At induction, 54 (34.6%) patients were ketotic with 76 ketotic (48.7%) at the end of the procedure. At induction there was no evidence for a difference between states with differing fasting guidelines in the incidence of hypoglycemia; The Royal Children's Hospital (RCH) 4 (4.1%), Queensland hospitals 2 (3.6%) risk ratio 1.13, and no evidence for a difference in ketosis; RCH 31 (32%), Queensland hospitals 18 (47.4%) risk ratio 0.76, 95% CI 0.45 to 1.17, p = 0.22. There was also no evidence for a difference in serum glucose concentrations; RCH mean 4.6 mmol/L (SD 0.84), Queensland hospitals' mean 4.7 mmol/L (SD 0.83), differences in mean -0.07 (95% CI -0.35 to 0.20) p = 0.60. However, there was evidence for a difference in ketones with median at RCH at 0.4 (IQR 0.2,0.7), Queensland at 0.6 mmol/L (IQR 0.3,0.9) however it is clinically insignificant. Serum glucose and ketone concentrations are related to milk fasting time. Increasing milk fasting times increases ketone concentrations and decreases serum glucose concentrations.</p><p><strong>Conclusions: </strong>The study showed that for young children undergoing elective surgery, there is a risk of hypoglycemia and ketosis.</p>","PeriodicalId":19745,"journal":{"name":"Pediatric Anesthesia","volume":" ","pages":"778-784"},"PeriodicalIF":1.6,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147574378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}